Canine Leishmaniasis in Europe over the Last Decade: A Review of Geographic Trends and Epidemiological Data.

Canine leishmaniasis is an emerging threat in Europe shaped by ecological, climatic, and socio-economic factors. This systematic review examines the prevalence of Leishmania spp. infection in dogs, based on information collected from studies published between 2015 and 2024 across 14 European countries. Available data was compiled and analyzed following PRISMA guidelines, revealing pronounced geographical variability. Prevalence was highest in southern European countries such as Portugal, Italy, and Greece, while substantially lower rates were reported in Central and Northern Europe. Despite differences in diagnostic approaches and surveillance intensity across countries, overall patterns point to endemic transmission in southern regions and a growing epidemiological risk in areas traditionally considered non-endemic. These findings underscore the need for harmonized diagnostic protocols and a strengthened surveillance network, consistent with the One Health framework, to enable effective responses to climate change and the shifting landscape of vector-borne diseases in Europe.